Mantle · Antioxidants (Basel, Switzerland) 2019 · narrative review · n=?

Coenzyme Q10 and Degenerative Disorders Affecting Longevity: An Overview.

Cited 63 times in the scientific literature.

Level 5 - mechanism / opinion, no new human data

Narrative review summarizing published trials and mechanism-based reasoning without systematic review methodology.

PubMed 30781472 · doi:10.3390/antiox8020044 · record verified 2026-08-26

What was done

This is a narrative review summarizing evidence from randomized controlled clinical trials on the potential role of coenzyme Q10 (CoQ10) supplementation, alone or in combination with selenium, for the prevention and management of degenerative disorders including cardiovascular disease, type II diabetes, chronic kidney disease, and non-alcoholic fatty liver disease.

What was found

The authors note that randomized controlled trials have shown CoQ10 or CoQ10 plus selenium reduces mortality by approximately 50% in patients with cardiovascular disease or in the normal elderly population, respectively. They also report improvements in glycemic control and vascular dysfunction in type II diabetes, improved renal function in chronic kidney disease, and reduced liver inflammation in non-alcoholic fatty liver disease. Specific effect estimates, sample sizes, and confidence intervals for non-mortality outcomes are not reported in the abstract.

Why it matters

The review summarizes how CoQ10 may target shared mechanisms of age-related degenerative conditions through cellular energy generation, antioxidant activity, and anti-inflammatory pathways.

Limits

As a narrative review, it lacks systematic search criteria, risk-of-bias assessment, and meta-analytic synthesis. The abstract does not specify participant numbers, intervention durations, dosages, or adverse effects.

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